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NISHA RATHORE M.D.
NPI 1295179547
Pediatrics in Fort Worth, TX

Active since April 17, 2013PECOS Enrolled
1500 W ROSEDALE ST, FORT WORTH, TX 76104(682) 885-3426(682) 885-7699 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 15, 2021, Jul 10, 2019 (2 updates tracked since 2019).

About Nisha Rathore M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NISHA RATHORE M.D. (NPI 1295179547) is an individual pediatrics provider in Fort Worth, Texas, licensed in Texas (S0367) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295179547
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNISHA RATHORECredential: M.D.
Location Address1500 W ROSEDALE STFort Worth, TX 76104-7403
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113
Phone(682) 885-3426
Fax(682) 885-7699
Sole ProprietorNo
Enumeration DateApril 17, 2013
Last NPPES UpdateJune 28, 20232 updates tracked since enumeration
NPPES CertifiedJune 28, 2023
✔ NPI 1295179547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · S0367
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1500 W ROSEDALE ST, Fort Worth, TX 76104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nisha Rathore M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Nisha Rathore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cook Children's Physician Network
2.2 mi
Pediatrics
801 7TH AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
NPI 1083472062 (682) 885-6483
Kelsey-Seybold Medical Group, PLLC
236 mi
Multi-Specialty
2727 W HOLCOMBE BLVD
Houston, TX 77025
  • Reassigned Medicare billing, Texas enrollment
  • 1,649 clinicians in this Medicare group
NPI 1013915255 (713) 442-0000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LISA A. DUCHAMP M.D.
Pediatrics
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6726
MS. GINA SERRANO CPNP
Nurse Practitioner (Primary Care)
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-3426
FELISHA-Y PHAM PA
Physician Assistant
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-3426
USHA ANANTHASWAMY CPNP
Nurse Practitioner (Primary Care)
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-3426
AUTUMN BRIANNE MORRIS CPNP-PC
Nurse Practitioner (Primary Care)
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-3426
JUDITH JOSE BONIFACIO RN, MSN, CPNP-PC
Nurse Practitioner (Primary Care)
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-3426
JENNA L GRAF FNP
Nurse Practitioner (Family)
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-3426
LINDSAY THATCHER CPNP
Nurse Practitioner (Primary Care)
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-3426

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nisha Rathore's NPI number?

The NPI number for Nisha Rathore is 1295179547. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Where is Nisha Rathore located?

Nisha Rathore practices at 1500 W Rosedale St, Fort Worth, TX 76104. The listed phone number is (682) 885-3426.

What is Nisha Rathore's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nisha Rathore enrolled in Medicare?

Yes. Nisha Rathore is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nisha Rathore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nisha Rathore reassigns Medicare benefits to 2 organizations: Cook Children's Physician Network (Fort Worth, TX) and Kelsey-Seybold Medical Group, PLLC (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nisha Rathore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nisha Rathore was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.